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FADI RAFFOUL DMD
NPI 1720468846
Dentist - General Practice in Brandon, FL

Active since June 03, 2015Opted out of Medicare · through Apr 15, 2027
787 W LUMSDEN ROAD, FAMILY IMPLANT AND COSMETIC DENTISTRY, BRANDON, FL 33511(813) 684-7888(813) 684-4558 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fadi Raffoul Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FADI RAFFOUL DMD (NPI 1720468846) is an individual general practice provider in Brandon, Florida, licensed in Florida (DN21194) and active in the NPI registry since June 2015. He has opted out of Medicare through April 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720468846
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameFADI RAFFOULCredential: DMD
Location Address787 W LUMSDEN ROAD, FAMILY IMPLANT AND COSMETIC DENTISTRYBrandon, FL 33511
Mailing Address787 W Lumsden Road, Family Implant And Cosmetic DentistryBrandon, FL 33511 · (813) 684-7888 · Fax (813) 684-4558
Phone(813) 684-7888
Fax(813) 684-4558
Sole ProprietorYes
Enumeration DateJune 3, 2015
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1720468846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN21194
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
787 W LUMSDEN ROAD, Brandon, FL 33511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Fadi Raffoul Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2025 through April 15, 2027.

Opt-Out Effective DateApril 15, 2025
Opt-Out In Effect ThroughApril 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUJA SATISH PATEL DMD
Dentist (General Practice)
787 W LUMSDEN ROAD, FAMILY IMPLANT AND COSMETIC DENTISTRY
BRANDON, FL 33511
Hillsborough County (813) 684-7888
FAMILY IMPLANT AND COSMETIC DENTISTRY, PLLC
Dentist (General Practice)
787 W LUMSDEN ROAD
BRANDON, FL 33511
Hillsborough County (813) 684-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fadi Raffoul's NPI number?

The NPI number for Fadi Raffoul is 1720468846. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Fadi Raffoul located?

Fadi Raffoul practices at 787 W Lumsden Road Family Implant And Cosmetic Dentistry, Brandon, FL 33511. The listed phone number is (813) 684-7888.

What is Fadi Raffoul's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Fadi Raffoul enrolled in Medicare?

No. Fadi Raffoul has opted out of Medicare through April 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Fadi Raffoul accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 6 other insurers list Fadi Raffoul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fadi Raffoul was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.